Excel of Wichita LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EXCEL OF WICHITA LLC

Practice address

7101 E 21St St N
Wichita, KS 67206-1044

Phone

(316) 684-8018

NPI assigned

May 15, 2023

Organization subpart

No

Name

Mark Hastings

Title

Ceo

Phone

(718) 942-3483

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara L McCue, D.O.

  • Family Medicine Physician
  • Wellington, KS
  • NPI 1457339137
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2023.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1821789504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006",
            "telephone_number": "718-942-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061044",
            "telephone_number": "316-684-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL OF WICHITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Diane Ewertz, DPT
• Lauren Shelby Ewertz, DNP, FNP-C
• Mark Ewertz, CRNA
• Mary Ewing, LSCSW
• Meghann Christine Ewy, LLC
• Expressions, LLC
• Extravagant Care
• Eye Associates of Wichita PA
• Eye Care Associates of Wichita, P.a.
• Eye Connect Vision Therapy

• All providers in Wichita, KS
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.